Child Reference State One of my favorite new features in SOLIDWORKS PDM Professional 2020 is the Child Reference State condition in Workflow Transitions. I can’t tell you how many times as a PDM administrator I had wished for a feature

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Pursuant to Clearing Advisory 20-152 that was published on April 8th, the clearing house will switch the options pricing and valuation model to Bachelier to accommodate negative prices in the underlying futures and allow for listing of option contracts with negative strikes for the set of products specified in the link below. The switch will be effective for the margin cycle run at the end of trading tomorrow April 22, 2020 and will remain in place until further notice.

Click here for the full text of the advisory

20-170

A Malagasy witch doctor comes to faith in Christ during an OM outreach and is baptised just one week before his death.

OM Madagascar responded to the declining literacy rate in the Androy region by starting a literacy course in Ambovombe. Last month the first class graduated, and the second class began.

An OM puppet ministry team in Hungary performs during Christmas and Easter, bringing the Gospel message to children, teachers and parents.

Participants from a day of outreach to refugee families in Budapest share their experiences.

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A team of OM workers and local believers share New Testaments and relief packs of food in a Muslim village in Israel.

Worker Ronaldo visits with a rabbi in Israel and discusses prophecies about the Messiah.

The president’s failure to understand his limits is very costly.

Are we really going to bet that we can go back to life as normal without proper coronavirus tracking in place?

OMer MacDonald shares how a church in rural Malawi started and has started reaching out.

Ride2Transform allows teams on two wheels to pedal far and wide, praying and sharing the love of Christ in least reached areas in Europe and Africa.

Rome Newsroom, Apr 30, 2020 / 02:01 pm (CNA).- In the central Italian countryside, at the edge of the Umbrian woods just outside Norcia, a group of Benedictine monks prays and works from well before the sun rises until it sets.

This much has not changed in the monks’ lives during Italy’s coronavirus lockdown; but what has is the visitors they receive at the monastery.

“Usually we have some guests coming from all over the world... visitors coming from Italy or the U.S., friends or retreatants,” Fr. Benedict Nivakoff, O.S.B., told CNA by phone.

“And so, the total absence of those people, of that presence, has just focused our prayer all the more and we try to do what we are called to do more seriously,” he said.

“The main thing is a greater intensity of prayer for all those who are suffering.”

Nivakoff is the prior of the monks living at the site of St. Benedict’s birth. After religious life was suppressed in the area in the 1800s, a group led by Fr. Cassian Folsom was given permission to re-establish the monastery and moved there in 2000.

The prior said when the coronavirus was at its height in Italy, the monks did a traditional procession around the property with relics of the true cross.

“And that’s a way of praying for people, invoking the saints and calling down God’s help and his mercy on the country and on the world,” he said.

St. Benedict himself “experienced plagues, famines, sickness, death, not to mention relentless attacks of the devil on him and on his monks. He saw all of those as occasions for the monks themselves and for him to renew his trust and his faith in God,” Nivakoff said.

There is a “sad and persistent temptation,” he explained, to think “the world can solve these problems, but in fact, this world is passing away and God is the only answer to the suffering that we see.”

“So St. Benedict’s message, if you will, would be that all these things that happen can work for the good, and that is for the good of … each man and woman, each monk, in drawing closer to God.”

The monks in Norcia experienced tragedy first-hand four and a half years ago when several earthquakes, including one of 6.6-magnitude, struck central Italy and Norcia in August and October 2016.

The earthquakes destroyed hundreds of homes and the monk’s own buildings, including the Basilica of St. Benedict.

They have been rebuilding, but construction has been on hold during Italy’s lockdown, Nivakoff said, noting that it may, God willing, be able to start back up in a few weeks.

“The earthquake taught us many things and maybe one of the more relevant lessons for today is to resist the temptation that everything should go back exactly as it was,” he said.

“We thought after the earthquake, ‘well the answer is [to rebuild] everything as good if not better than before.’”

“But at the root of that is a fallacy, that this is a world, and we are men touched by original sin, who will only really have happiness and completion and real restoration in heaven,” the prior said.

He noted, “we can and do and need to work to improve things and to bring order where there is chaos and disorder but not at the risk of making this world into the destination and the goal,” because “it isn’t; it’s our temporary place so that we might get to heaven.”

“The earthquake really helped us to see that in a visible form, because the ground was literally shaking beneath our feet,” he said, “and the buildings we had called home to us and to our neighbors, our families, our friends, all the people here in Italy that we know, in central Italy, as all that fell apart.”

He said this “has called for trust and faith that is hard to muster in these days when the faith is so minimal.”

According to Nivakoff, “there are so many” lessons from monastic life that could help people quarantined in their homes right now, but he emphasized “two principle challenges to solitude.”

The first is for those who are in quarantine with others. As for monks who live with other monks, charity is very important when living in the midst of many people, he said.

“This really calls for lots and lots of patience, [and] to remember that patience with others always begins with patience with ourselves,” he explained. “Accepting our sins, accepting our faults, accepting that God is patient with us, and being patient with ourselves, helps us to be more patient with others.”

He added that silence can be a really useful tool in these circumstances: “Not speaking, not responding to the irritating or difficult or perhaps provocative things … people we live with say.”

“Especially under quarantine, the people we live with are probably going to still be with us in a few hours and maybe our passions will have calmed down by then” to respond in a better way, he said.

The second principle he drew on is for those who are living alone, such as the elderly or the young.

“For them, the quarantine really means an eremitical lifestyle. And for them the hardest temptations are sadness, acedia,” Nivakoff said.

“Sadness, which can be good because it can help us to lament our sins, lament not being with God, but at the same time can be a very inward looking and very self-pitying emotion, that stems from expectations not fulfilled.”

He recommended lots of humility and accepting that you are not in charge, not placing hope in things one does not have any control over.

“We have a lot more control over whether we say our prayers at noon than whether the government stops the lockdown in one week,” he pointed out. “The ways to combat sadness are this: to make goals that depend on me, and to put our trust and hope in God.”

Nivakoff also noted that there is a lot of talk right now about the importance of regaining the liberties men and women have had and avoiding “overreach of the government.”

“And that might be true, but from a Christian perspective, it is that we men and women need to accept the limitations that this disease brings on us,” he said.

“So even this terrible virus we need to see as permitted by [God] for some good purpose and the most traditional understanding of that is for some kind of purification.”

“So, we ask for God’s mercy because we need it.”

So during the coronavirus pandemic, the monks continue their prayer and their work taking care of the animals, gardening, cooking, cleaning, and managing the nearby forest.

To support themselves the monks also brew beer, and because it is sold through the internet, the coronavirus has not negatively impacted sales.

“And thank God, that model has really been blessed at this time because with so many people not being able to leave their home, many have taken it as an occasion to sample some monastic beer,” Nivakoff said.

“We continue to export from Italy to the United States and beer is available and it seems to delight many hearts there and we are very happy.”

CNA Staff, May 8, 2020 / 07:00 am (CNA).- A new “dial-a-Mass” service enabling Catholics with no internet connection to listen to Sunday Masses is proving a success, an English bishop has said. 

Bishop Terence Drainey of Middlesbrough said that 100 people used the Mass-by-Phone service when it launched May 3.  

Public Masses were suspended in England from March 20 and churches ordered to close days later. The government has not indicated when churches will be allowed to reopen. 

The Diocese of Middlesbrough, in northern England, decided to introduce the phone line -- believed to be the first of its kind in England -- when it became clear that some Catholics were unable to follow livestream Masses because they didn’t have smartphones or Wi-Fi.

Bishop Drainey told CNA: “We’re trying to reach out to as many people as possible. But it became obvious to us that there are some people who aren’t on the internet and they are being completely missed and also wanting to somehow take part in the Mass.”

“As a result of that, talking to our communications people, we came up with this idea of having a ‘dial-a-Mass’ system.”

When Catholics call the service, they hear a brief message welcoming them to St Mary’s Cathedral in Middlesbrough. A recording of the Sunday Mass then begins. 

The Knights of St Columba Council 29 is funding the service, which the diocese believes is the first in England that doesn’t require special access codes.

Bishop Drainey said the line was part of the Church’s creative response to restrictions imposed by the government to prevent the spread of COVID-19.

“One of the things that this crisis situation has brought out is people’s imagination: how to initiate new ways of praying, new ways of getting in touch with the larger Church, participating virtually in liturgical celebrations,” he said.

He added that the service was likely to continue after the crisis passed. He recalled that an 86-year-old woman had phoned him just before the lockdown to talk about livestreamed Masses:

“I said we’re about to do it. ‘That’s fine, great,’ she said. ‘But when all this is finished, you need to continue livestreaming. People like me who can no longer get out, we long to be able to somehow be in contact with the Mass. So promise me there you'll really encourage livestreaming after this has all passed.' And I said: 'Yes, absolutely. I agree.'”

In addition to livestreaming Masses and Mass-by-Phone, the diocese is planning to hold a virtual pilgrimage to Lourdes after it was forced to postpone its regular trip to the French shrine at the end of May. The online pilgrimage will include services on Facebook as well as special prayers and reflections. 
 

OM Hong Kong hosts a Christmas party on 23 December 2011 for Pakistani women and children.

Alcoholism in both men and woman is a huge problem in Poland. One young woman decides she’s had enough and turns to Christ.

Zosia and Monika couldn’t find an addiction therapist within a 60 kilometre radius of their town, so they became therapists themselves.

By Andrea Picciotti-Bayer

Our parish’s fall festival was coming to an end. As I rounded up my little ones, I spotted an acquaintance. Antoinette is almost 95 years old and now wheelchair bound, but her incandescent smile inevitably draws people towards her. “Have you had a nice evening?” I asked.
 
 “Oh yes,” she replied, “I spoke for a long time with Father.” 
 
“You know,” I said in a hushed tone, “I think he is a mystic.”
 
 “Yes,” Antoinette said, taking a deep breath, “he saw right to my soul.”
 
A mystic is not some sort of Catholic tarot card reader. A mystic is, in the eyes of traditional Christianity, someone God has given certain gifts and graces to accomplish a specific purpose for the salvation of souls. Some of the Church’s notable mystics include great saints like St. Padre Pio, St. John of the Cross, St. Teresa of Avila and St. Catherine of Siena. Their extraordinary ability to sense God transformed their hearts. Theirs were hearts moved to quiet and solitude when necessary, but also to action and service to souls and the Church. They were obedient to God and Church, and – not unrelatedly – they were profoundly humble. 
 
Now, we shouldn’t think that the exceptional relationship that mystics had with God is just for an elite, holy few. No, not at all. Mystics walk among us in our everyday lives – Antoinette’s and my parish priest, for example – and a mystical relationship with God is open to us all. In fact, God longs to connect with each one of our hearts and transform them for His glory. To that end, National Review’s Kathryn Jean Lopez has just compiled a beautiful daily devotional, A Year with the Mystics: Visionary Wisdom for Daily Living, that can help open our hearts to such prayerful, mystical encounters with God. Lopez’ message is simple: “You too can be a mystic.”
 
“I don’t pretend to either be a mystic or an expert on mysticism,” she writes. “But I do pray enough to know that so very few us of us have plumbed the depths of what God wants to reveal to us and do in us through prayer.”
 
A Year with the Mystics features brief, daily meditations grounded in the writings and prayers of the Catholic Church’s well-known mystics – Padre Pio, Teresa of Avila, and John of the Cross, for example.  Lopez also includes the words of “active saints in the world,” figures not conventionally thought of as mystics such as Mother Teresa and Mother Angelica.
 
The book is not a formulaic, chapter-by-chapter guide to the interior life. Rather, each day’s reflection invites the reader into a particular contemplation. “Entering into the light,” “Divine friendship,” “Looking in the mirror, seeing light and virtue,” “Pray without ceasing? A how-to” are some of my most favorite daily invitations. Lopez follows up with a brief introduction to an inspired writing, the excerpt itself, a consideration and then a final prayer. The reading and daily meditation takes a brief 15 minutes, but it can inspire an entire holy hour or direct your entire day. It’s worth pointing out that the book is beautifully bound and sturdy enough to survive transport in a purse, briefcase, or the door pocket of the car so that not one day of contemplation is missed.    
 
I have turned to this little volume often in my prayers since receiving my review copy. And I have found great consolation – the kind of consolation I saw on Antoinette’s smiling face after she spoke with Father John at the parish festival.  
 
For most of us, the mystical union with God will be found as contemplatives in an often loud and busy world. Inviting the mystics to accompany us along our journey of contemplation presents an opportunity for incredible growth in our prayerful encounter with God. In A Year with the Mystics, Kathryn Jean Lopez has mapped a lovely and useful path to facilitate this encounter. “Be not afraid as you’ve heard and will read,” she writes “Let him bring you to a peace that surpasses all understanding, even as he brings you into a deeper understanding in the heart of the Trinity.”

Denver Newsroom, May 7, 2020 / 06:01 pm (CNA).- A young Catholic artist has drawn an image of the Blessed Virgin Mary on her parents' driveway bringing religious art to her local community during the quarantine.

The Diocese of Fargo posted on Facebook May 4 an image of Our Lady of Lourdes drawn by Maria Loh, a 17-year old who grew up in Fargo. She said it was an enjoyable experience to share her faith and art with her neighborhood.

“Being able to interact with people when they walked by was very moving in a way because a lot of people have never really seen sidewalk art done like that locally. So being able to share in that kind of experience, it was very, very good,” she told CNA.

Loh has recently been inspired by chalk art and pastels, which, she said, have vibrant and beautiful colors. She has drawn on the sidewalks a few times, including two images of Mary - Madonna of the Lillies and the Pieta by William Adolphe-Bouguereau.

Her most recent chalk drawing was Our Lady of Lourdes by Hector Garrido - an image she had seen as a magnet on her grandparents' refrigerator growing up. The picture has always been an inspiration, she said, noting that she decided to replicate it after Our Lady of Lourdes Shrine in France had temporarily closed due to the coronavirus pandemic.

“I heard that the shrine had been temporarily closed off to the public, and I remember … thinking that's really sad because especially in this time, we’re really looking for healing in more ways than one, like physically and mentally and spiritually,” she said.

“It really felt like people wouldn't be able to go to experience that. So I felt like drawing this image of Our Lady of Lourdes would be a good way to remind people that Our Lady is still with us even if we can’t go to her shrine.”

Loh, the oldest of five, has been involved with art projects and drawing for her entire life. She said, growing up in a Catholic family, she has been inspired by her faith and the religious art in churches.

“I see our faith as so precious... Especially in the form of the Eucharist - the actual body and blood of Christ, I've seen that we are very blessed to have that in our faith. It's something that has impacted a lot of my life growing up,” she said.

While she was working on the piece, Loh said, a majority of passersby did not know who the lady in the image was. She expressed hope that the picture would help remind people of Mary and the beauty of the Church, which, she said, is a powerful attraction to the faith.

“One thing that I hope this kind of art and image will evoke is a desire to come to know who Mary is and how rich our faith is. … All the beautiful art that can be seen in Catholic churches, especially like in Rome, there's almost a transcendental beauty to them that draws people into the faith to come to know things that they've never dreamed of before,” she said.

As Loh finishes her junior year of high school, she expressed the possibility of art school after graduation, but, while she is still uncertain of the future, said art will not be dropped anytime soon.

“I can definitely see [art school] being a possibility. I’ll have to spend some time, especially with God trying to figure out what he wants me to do. But, I don't think art is going out of my life anytime soon,” she said.

CNA Staff, May 8, 2020 / 07:00 am (CNA).- A new “dial-a-Mass” service enabling Catholics with no internet connection to listen to Sunday Masses is proving a success, an English bishop has said. 

Bishop Terence Drainey of Middlesbrough said that 100 people used the Mass-by-Phone service when it launched May 3.  

Public Masses were suspended in England from March 20 and churches ordered to close days later. The government has not indicated when churches will be allowed to reopen. 

The Diocese of Middlesbrough, in northern England, decided to introduce the phone line -- believed to be the first of its kind in England -- when it became clear that some Catholics were unable to follow livestream Masses because they didn’t have smartphones or Wi-Fi.

Bishop Drainey told CNA: “We’re trying to reach out to as many people as possible. But it became obvious to us that there are some people who aren’t on the internet and they are being completely missed and also wanting to somehow take part in the Mass.”

“As a result of that, talking to our communications people, we came up with this idea of having a ‘dial-a-Mass’ system.”

When Catholics call the service, they hear a brief message welcoming them to St Mary’s Cathedral in Middlesbrough. A recording of the Sunday Mass then begins. 

The Knights of St Columba Council 29 is funding the service, which the diocese believes is the first in England that doesn’t require special access codes.

Bishop Drainey said the line was part of the Church’s creative response to restrictions imposed by the government to prevent the spread of COVID-19.

“One of the things that this crisis situation has brought out is people’s imagination: how to initiate new ways of praying, new ways of getting in touch with the larger Church, participating virtually in liturgical celebrations,” he said.

He added that the service was likely to continue after the crisis passed. He recalled that an 86-year-old woman had phoned him just before the lockdown to talk about livestreamed Masses:

“I said we’re about to do it. ‘That’s fine, great,’ she said. ‘But when all this is finished, you need to continue livestreaming. People like me who can no longer get out, we long to be able to somehow be in contact with the Mass. So promise me there you'll really encourage livestreaming after this has all passed.' And I said: 'Yes, absolutely. I agree.'”

In addition to livestreaming Masses and Mass-by-Phone, the diocese is planning to hold a virtual pilgrimage to Lourdes after it was forced to postpone its regular trip to the French shrine at the end of May. The online pilgrimage will include services on Facebook as well as special prayers and reflections. 
 

At the end of last year, a team of 10 brought help and God’s Word to two impoverished communities in the Mexican state of Chiapas.

OM Mexico brings the gospel to the rural Guarijios tribe during the Christmas season.

It's an unforgettable experience!” OM Mexico’s missions training impacts one participant’s life, who then returns to the training as a staff member.

Women work with disabled children in North Africa, desiring to transmit God’s love through physical therapy.

After preaching in a church and serving the community, team members each receive an egg as a gift from a local woman.

Vatican City, May 5, 2020 / 03:30 am (CNA).- Pope Francis prayed for those who have died alone during the coronavirus pandemic at his morning Mass Tuesday.

At the start of Mass in the chapel at Casa Santa Marta, his Vatican residence, he said May 5: "Today we pray for the deceased who have died because of the pandemic. They have died alone, without the caresses of their loved ones. So many did not even have a funeral. May the Lord welcome them in His glory."

More than 250,000 people have died of COVID-19 worldwide as of May 5, according to Johns Hopkins University Coronavirus Resource Center.

In his homily, the pope reflected on the day’s Gospel reading (John 10:22-30), in which Jesus is asked to declare openly whether he is the Christ. Jesus replies that he has already told his listeners, but they have not believed him because they are not among his sheep.  

Pope Francis urged Catholics to ask themselves: “What makes me stop outside the door that is Jesus?”

One major obstacle is wealth, the pope said.

“There are many of us who have entered the door of the Lord but then fail to continue because we are imprisoned by wealth,” he said, according to a transcript by Vatican News. 

“Jesus takes a hard line regarding wealth… Wealth keeps us from going ahead. Do we need to fall into poverty? No, but, we must not become slaves to wealth. Wealth is the lord of this world, and we cannot serve two masters.”

The pope added that another barrier to progress towards Jesus is rigidity of heart.  

He said: “Jesus reproached the doctors of the law for their rigidity in interpreting the law, which is not faithfulness. Faithfulness is always a gift of God; rigidity is only security for oneself.”

As an example of rigidity, the pope recalled that once when he visited a parish a woman asked him whether attending a Saturday afternoon nuptial Mass fulfilled her Sunday obligation. The readings were different to those on Sunday so she worried that she might have committed a mortal sin. 

Rigidity leads us away from the wisdom of Jesus and robs us of our freedom, he said.

The pope named two further obstacles: acedia, which he defined as a tiredness that “takes away our desire to strive forward” and makes us lukewarm, and clericalism, which he described as a disease that takes away the freedom of the faithful. 

He identified worldliness as the final obstacle to approaching Jesus. 

“We can think of how some sacraments are celebrated in some parishes: how much worldliness there is there,” he said. 

“These are some of the things that stop us from becoming members of Jesus’s flock. We are ‘sheep’ of all these things -- wealth, apathy, rigidity, worldliness, clericalism, ideologies. But freedom is lacking and we cannot follow Jesus without freedom. ‘At times freedom might go too far, and we might slip and fall.’ Yes, that’s true. But this is slipping before becoming free.”

After Mass, the pope presided at adoration and benediction of the Blessed Sacrament, before leading those watching via livestream in an act of spiritual communion.

The congregation then sang the Easter Marian antiphon "Regina caeli."

At the end of his homily, the pope prayed: “May the Lord enlighten us to see within ourselves if we have the freedom required to go through the door which is Jesus, to go beyond it with Jesus in order to become sheep of His flock.”

Vatican City, May 5, 2020 / 11:00 am (CNA).- Pope Francis said that he has looked up to St. John Paul II throughout his priesthood in a book foreword he wrote ahead of the 100-year anniversary of the Polish pope’s birth. 

“St. John Paul II was a great witness of faith … Many times, in the course of my life as a priest and bishop I have looked to him, asking in my prayers for the gift of being faithful to the Gospel as he witnessed to us,” Pope Francis wrote in the forward of a recently published Italian book.

The book, “St. John Paul II: 100 Years. Words and images”, is being issued by the Vatican Publishing House to mark the centenary of Karol Wojtyła’s birth on May 18, 1920.

In his five-page foreword, Pope Francis wrote that St. John Paul II was “a great man of prayer who lived completely immersed in his time and constantly in contact with God, a sure guide for the Church in times of great change.”

“He was a great witness of mercy and throughout his pontificate he called us to this characteristic of God,” Francis said.

When Wojtyła became Pope John Paul II in 1978, a 41-year-old Fr. Jorge Mario Bergoglio was serving as the provincial superior of the Jesuits in Argentina. 

Pope John Paul II appointed Bergoglio an auxiliary bishop in 1992, elevating him to become Archbishop of Buenos Aires in 1998, and creating him a cardinal in 2001. Pope Francis canonized St. John Paul II in 2014.

“Fifteen years now separate us from his death,” Pope Francis said.

The pope pointed out that there are children and young people today who have not known or only have a vague memory of St. John Paul II.

“For this reason, on the centenary of his birth, it was right to remember this great holy witness of the faith that God has given to his Church and to humanity,” he said.

“I hope that this text will reach the hands of many, above all young people. Let us remember his faith. He is an example for us to live our witness today,” the pope said.

Pope Francis wrote that many may not realize how much St. John Paul II suffered in his life. He experienced the death of his mother, brother, and father by the age of 21, and then lived through World War II.

“The suffering that he experienced relying totally on the Lord forged him, and made even stronger the Christian faith in which he had been educated,” Francis said.

“St. John Paul suffered as pope. He suffered a terrible attack in 1981, offered his life, shed his blood for the Church. He testified that even in the difficult trial of disease, shared daily with God made man and crucified for our salvation, we can remain happy. We can remain ourselves,” he continued. 

Pope Francis also commented on John Paul II’s “great passion for the human person” and his openness to dialogue. 

Earlier this year, Pope Francis co-authored a book of reflections on the life of St. John Paul II entitled “St. John Paul the Great.” In this book, Pope Francis said he learned the importance of joy and mercy from the Polish pope.

“It is enough to look at his life” to see that John Paul II had “the smell of the sheep,” Francis said. “He was a pastor who loved people and the people returned it with an immense love.”

Research suggests that the prevalence of obesity in children with autism spectrum disorder (ASD) is higher than in typically developing children. The US Preventive Services Task Force and the American Academy of Pediatrics (AAP) have endorsed screening children for overweight and obesity as part of the standard of care for physicians. However, the pediatric provider community has been inadequately prepared to address this issue in children with ASD. The Healthy Weight Research Network, a national research network of pediatric obesity and autism experts funded by the US Health Resources and Service Administration Maternal and Child Health Bureau, developed recommendations for managing overweight and obesity in children with ASD, which include adaptations to the AAP’s 2007 guidance. These recommendations were developed from extant scientific evidence in children with ASD, and when evidence was unavailable, consensus was established on the basis of clinical experience. It should be noted that these recommendations do not reflect official AAP policy. Many of the AAP recommendations remain appropriate for primary care practitioners to implement with their patients with ASD; however, the significant challenges experienced by this population in both dietary and physical activity domains, as well as the stress experienced by their families, require adaptations and modifications for both preventive and intervention efforts. These recommendations can assist pediatric providers in providing tailored guidance on weight management to children with ASD and their families.

BACKGROUND AND OBJECTIVES:

Children with autism spectrum disorder (ASD) have a higher prevalence of epilepsy compared with general populations. In this pilot study, we prospectively identified baseline risk factors for the development of seizures in individuals with ASD and also identified characteristics sensitive to seizure onset up to 6 years after enrollment in the Autism Speaks Autism Treatment Network.

OBJECTIVES:

Our goals for this study were to characterize the frequency of agitation in patients with autism spectrum disorder (ASD) admitted to an inpatient pediatric medical unit and to identify risk factors associated with agitation.

BACKGROUND AND OBJECTIVES:

Guidelines suggest young children with autism spectrum disorder (ASD) receive intensive nonpharmacologic interventions. Additionally, associated symptoms may be treated with psychotropic medications. Actual intervention use by young children has not been well characterized. Our aim in this study was to describe interventions received by young children (3–6 years old) with ASD. The association with sociodemographic factors was also explored.

BACKGROUND:

Emergency department (ED) care processes and environments impose unique challenges for children with autism spectrum disorder (ASD). The implementation of patient- and family-centered care (PFCC) emerges as a priority for optimizing ED care. In this article, as part of a larger study, we explore PFCC in the context of ASD. Our aims were to examine how elements of PFCC were experienced and applied relative to ED care for children with ASD.

BACKGROUND:

Long delays between parents’ initial concerns about their children’s development and a subsequent autism spectrum disorder (ASD) diagnosis are common. Although discussions between parents and providers about early ASD concerns can be difficult, they are critical for initiating early, specialized services. The principles of shared decision-making can facilitate these discussions. This qualitative study was designed to gain insights from parents of young children with ASD about their experiences communicating with primary care providers with the goal of identifying strategies for improving conversations and decision-making regarding the early detection of ASD.

BACKGROUND AND OBJECTIVES:

Families of children with autism spectrum disorder (ASD) often experience challenges navigating multiple systems to access services. Family navigation (FN) is a model to provide information and support to access appropriate services. Few studies have been used to examine FN’s effectiveness for families of children with ASD. This study used mixed methods to (1) characterize FN services received by a sample of families in the Autism Treatment Network; (2) examine change in parent-reported activation, family functioning, and caregiver strain; and (3) explore families’ experiences with FN services.

CONTEXT:

Research reveals racial, ethnic, and socioeconomic disparities in autism diagnosis; there is limited information on potential disparities related to other dimensions of services.

The Autism Treatment Network and Autism Intervention Research Network on Physical Health were established in 2008 with goals of improving understanding of the medical aspects of autism spectrum disorders. Over the past decade, the combined network has conducted >2 dozen clinical studies, established clinical pathways for best practice, developed tool kits for professionals and families to support better care, and disseminated these works through numerous presentations at scientific meetings and publications in medical journals. As the joint network enters its second decade continuing this work, it is undergoing a transformation to increase these activities and accelerate their incorporation into clinical care at the primary care and specialty care levels. In this article, we describe the past accomplishments and present activities. We also outline planned undertakings such as the establishment of the Autism Learning Health Network, the increasing role of family members as co-producers of the work of the network, the growth of clinical trials activities with funding from foundations and industry, and expansion of work with primary care practices and autism specialty centers. We also discuss the challenges of supporting network activities and potential solutions to sustain the network.

Idiopathic acute eosinophilic pneumonia is a rare and potentially life-threatening condition that is defined by bilateral pulmonary infiltrates and fever in the presence of pulmonary eosinophilia. It often presents acutely in previously healthy individuals and can be difficult to distinguish from infectious pneumonia. Although the exact etiology of idiopathic acute eosinophilic pneumonia remains unknown, an acute hypersensitivity reaction to an inhaled antigen is suggested, which is further supported by recent public health risks of vaping (electronic cigarette) use and the development of lung disease. In this case, a patient with a year-long history of vaping in conjunction with tetrahydrocannabinol cartridge use who was diagnosed with idiopathic acute eosinophilic pneumonia with associated bilateral hilar lymphadenopathy is described.

A previously healthy 9-year-old immigrant girl from Mexico was evaluated in the emergency department (ED) with one week of fatigue, fevers, rhinorrhea, and cough. She initially presented to her primary pediatrician, where a complete blood count revealed neutropenia, prompting referral to the ED. In the ED, she was found to be influenza A–positive. Because of dehydration, she received intravenous fluids and was admitted to the pediatric hospital medicine service. After 2 days, influenza symptoms improved, and oral intake increased. However, she was noted to have decreased bilateral lower-extremity strength, absent Achilles reflexes, decreased lower-extremity sensation and proprioception, a positive result on the Romberg sign, and abnormal heel-to-shin testing results. These findings prompted an urgent neurology consultation. After extensive imaging, laboratory evaluation, and further consultations, a diagnosis was established.

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